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Clin Shoulder Elbow > Volume 15(2); 2012 > Article
Clinics in Shoulder and Elbow 2012;15(2):117-122.
DOI: https://doi.org/10.5397/CiSE.2012.15.2.117    Published online December 31, 2012.
Operative Treatment of the Displaced Midshaft Clavicle Fracture Using Precontoured Locking Compression Plate
Jeong Woo Kim, Hong Je Kang, Sung Hyun No
Department of Orthopaedic Surgery, School of Medicine, Wonkwang University, Iksan, Korea. kanghongje@hanmail.net
Precontoured Locking Compression Plate를 이용한 전위성 쇄골 간부 골절의 수술적 치료
김정우·강홍제·노성현
원광대학교 의과대학 정형외과학교실
Abstract
PURPOSE
To assess the effectiveness of internal fixation using a precontoured locking compression plate for the treatment of the displaced clavicle fracture by analyzing both radiological and clinical outcomes. MATERIALS AND METHODS: We reviewed 34 cases of displaced clavicle shaft fracture treated by internal fixation using precontoured locking compression plates between May 2009 and February 2010. Radiological outcomes were analized on the basis of bone union and the differences between the time for bone union depending on sex and age. Clinical outcomes were analyzed on the basis of quick DASH Scores and the differences in the range of motion of the affected shoulder compared to the contralateral shoulder.
RESULTS
In the radiological evaluation, all fractures showed bone union, and the average time for bone union was 12.3 weeks, without delayed unions. Time for bone union did not differ significantly with respect to sex and age (p=0.87). In the clinical evaluation, the average final quick DASH Score was 23.5 (range, 12~42). At final follow up, the range of motion after bone union in the affected shoulder was not significantly different from that of the contralateral shoulder (p=0.69).
CONCLUSION
The internal fixation achieved using precontoured locking compression plate in displaced clavicle shaft fracture showed effective bone union and can be considered as a reliable method with fine clinical results showing early range of motion at the shoulder joint.
Key Words: Clavicle shaft fracture; Open reduction; Locking compression plate


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